Individual
JAMIE STORTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTRL
Contact information
Practice address
33 WILDWOOD DR, ROCK ISLAND, IL 61201-6147
(847) 204-0796
Mailing address
33 WILDWOOD DR, ROCK ISLAND, IL 61201-6147
(847) 204-0796
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056006330
IL
Other
Enumeration date
01/06/2007
Last updated
10/16/2012
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